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Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis

Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had...

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Autores principales: Busse, Jennifer, Gottlieb, David, Ferreras, Krystal, Bain, Jennifer, Schechter, William
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207877/
https://www.ncbi.nlm.nih.gov/pubmed/30416830
http://dx.doi.org/10.1155/2018/5038272
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author Busse, Jennifer
Gottlieb, David
Ferreras, Krystal
Bain, Jennifer
Schechter, William
author_facet Busse, Jennifer
Gottlieb, David
Ferreras, Krystal
Bain, Jennifer
Schechter, William
author_sort Busse, Jennifer
collection PubMed
description Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor.
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spelling pubmed-62078772018-11-11 Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis Busse, Jennifer Gottlieb, David Ferreras, Krystal Bain, Jennifer Schechter, William Case Rep Anesthesiol Case Report Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor. Hindawi 2018-10-17 /pmc/articles/PMC6207877/ /pubmed/30416830 http://dx.doi.org/10.1155/2018/5038272 Text en Copyright © 2018 Jennifer Busse et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Busse, Jennifer
Gottlieb, David
Ferreras, Krystal
Bain, Jennifer
Schechter, William
Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title_full Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title_fullStr Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title_full_unstemmed Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title_short Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis
title_sort pharmacological management of severe neuropathic pain in a case of eosinophilic meningitis related to angiostrongylus cantonensis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207877/
https://www.ncbi.nlm.nih.gov/pubmed/30416830
http://dx.doi.org/10.1155/2018/5038272
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